HomeMy WebLinkAbout30139490 - PermitProiectAddress: 2424N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 2, 12
Zoning: R4
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01116002 51602
011 16002 51602
01 1 16002 51600
01 1 16002 51602
Amount
12.23
11.52
21.25
52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
8.00
2.00
1.00
1.00
Eotchi:4.t196 - 6/7/2ttfe0ff ice: CTYH TrRnEi: SgAE.ti: Eet+:
IO3 LROSALESPhone
State Lic #: 1009989
Lic Type B
Bus. Lic #: 365547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: O1lo'llzo'tg
2of
394?0
PII.,1
Rcpt3:02?8?955 - 6./7./:0tB I: i:{Tronscct ion fotol $g{"rs
Koterro Renovot ionE, L.Lt
Generol Plon Updste Fee
0l I 1600?- 516t100(r(r-
Plu.b i ns
01116002- 516tr?00tr-
ICL Check 110299?
t?l .2f)
fr 73. sl
Ir805.27
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Date:
Date:
Date:
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 2, 12)
05/31/2018
Account#
l\4isc. Receipt:
l\,4isc. Receipt:
N4isc. Receipt:
Total
Chavez, Dave
Every permil issued shall becofie invalid unless the worr( o/t the sito
authorized by such pemit is commenced within 1 80 days aftet its
issuance, or if the work authoized on lhe site by such permit is suspended
ot abandoned fot a period ol 180 days after the time the wo is
commonced
lnspector MID#: 20'18-1436'10
$21 .2s
$'173.86
Fee Tolal
Paid to Datel
Balance Due:
01116002 5't600
01116002 51602
$195.11
$0.00
$195.11
Permit #: 3O139490
Pin #: 545E4
Fee
$97.84
$23.04
$21.25
Multi-Family (5 or more uni Occupancy:
Alteratlon Constr Type:
Fixture change outs (unit 2, Code:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE rD/srG.OlVNER BUILDER DI]LCANNTioN
I hcrchy rlrtrn undcr rnah, {,f perjory rh3r I un crcmrr rrom rh. contlr.F Liccnsc lj* lor lhc fdlo*in! (r$n (s.c ?0115
Bu\in$s and Pn)ic$n'n Codc) Any Ciry or coxtrr, whi.h r.quircs { Fnnir lo con(od, trhcr. inrovc. ddmliri or roIiair'!ny-
nrucrur. tlrif ro irs nsrrcc. also lcqlncsrhc lppliclnt lb, {uchpcn r b nh, sisncd s0tcmnr rhar hcor shc i{ li.rnrcd pnrsxdnrr
ro rhc pn,vtt,ns orrli Corkacrors Licctrscd tiw (chsl,cr 9. ComDcncins sirh sc.rk,r 7mo.i Divkio.I ot lhc Blsines rnd
Pd,rc\\n,n\ Cod.)orrh,r rrorshc iscrcnrrr lhcrcrioDrnd Ih. bnsis tu rhc {llcgcd crc lnrior AnyviolarionolScdbnT{).rl5hy!.,
nppli.nN nrapcn nrhjah lhc applicur t' rcivilpcnllryolnor nDdrhin fivc hundtcddollns ($500)
-1.
rs o*nc, of !h. IreFny, or ny cryloy*s wilt wa8cs as thct sb conqEnsion. will do (E sck !d llE slnrte n Dr
inrei(|cd or ofi.r.d for elc (Sc,7014. Busircs dd Profcsrions Co<le: Thc ConlElols Lkcns Law dfts nol t'Idy lo n owmr of
rhc I'nrEny sho hril.tr or inpows rlEmc .id who d(H sEh mrll him.cli or icMlf or rhrcugl hB o. hcr own.orlorcer,
prcvid.d rhlr such irymemnts m rcl hrcnd.n o, oficEd fd ob. lt thwE E buildi4 or inlmtm is $ld wirhin orc ]w
ofcoq)lclidtr lrE O"nc. Suilhr will lEw tlE h,&n ot povinS $!r b d lhc did ml hild o, inpore dE ptDIEly for tlt Attte.r
l. $own.rofrhc Imrcny. !herchsiklyco ricrins sirh lie.ed onriddou ro.onnrud ifu pmiccl lS(. r0{4. Burims
and t'tDlis\i{Codc:ThcCd.r0crortLi.cnsckwdmsnot.pplyromoencroapropc,whohlildsorinpnvcslhcrcnn.
nd *ho oflrucls fd su.h ro.iEls wiri r Conlacto(s) liccnsd pu^@ fi! rh. conrm.ktrt Liccns L!q)
I a'ncx.mDt undn SLruon .B &PC forlhkrca6n.
D.t.: O*mr:
TOAf,EIIfI]OMPJIIAIION
PECI,ASAIIAN
I h.rcby afiilD und.r pcnalty of p.qury orc or lhc folloqinB del4urionrl
IhrvcMdwillnrnnir!(tnificalcol'Conrtrll,)Scltlnsuclitr$or[..ohrpctrsrlion,nsPnvidcdforhyScdnn]70Oolrhc
trtxx Codc. r$ rhc pdrhi,n .c ol rlE uork tu $hi.h lhc pcnnil i\ is c.l
,l havc and wiU minrair vorkm conpcmarion iniuhtuc. rl Equircd by Selion ]T(]O of rh. Libor Code. for rhc n norltEflc oa
rhc work for ehtt rth tE.djr iq iinrd My work6 oopendion iNur!re Micr ed plty Ndrxr m:
o c0 o l.\q
-l
ccnity rhsr i. rh. p.rlormncc oflhc wort for uhich lhh pcrmn is irsu.d.l.hall mr cmpr,y trny pnetr in 3n, mnkr
$ s ro hcsnE subJ.li io rh. wo*rl cotr{*Nlrion bwr ol C.lifomi( dd slG lhar if I stFuld bc.om subi(l lo th.
mrk.s'compns.liontmvisiotrsofSdtionlT0OotthcL,borCo<lc.ldull.fonhwilhomply*ilhltbePovirkns.
WARNING: Failurc lo scurc workc6' comrcnsalion colcrasc
.r'l fincs ut x, om hundKn lhouland dollls 'i100.0(I)r, in
S.crion 3016 oathc tjbor Codc. intcrcn ud atrormy r fer
is unhwtuL and stull suhjd
(,
I ncto$yn,nrdund.r pctrdryolpc+ry thal I am nnlision orChiprd 9{.om,rncing enn Scclk,n 7fi)) ofDivhion l
or rhc Bu\incs and l'rorcsknr Codc. and my licctrs is inInllforeundell(r
coNgra!,lcuoxLrNuNclclNg
I h.eb, ainn undc. Fnshyoit€r.iury rhar thcrc h..onsldction lc.din8r!.ncy for thc Frrbrroncc of rh. wo.k fttr *hich thk IEm n
hsucd (se. 1097. civ, c.).
lrlucaNrl)[clrlaalllt!
I tlnhy dlinn uincr Fc.0hyofp.lury onc ollhc aolk'wins dcclamln'ns:
t).mliinrnPcnnih Ask{o\Norifi.rrn,nFcdcral R.Suluri.rs(Tirlcilo. ifiO
-Rcq!tcd
txrrcr ot Miifuri0n
l.cnily rhd thc ltdcr0l !cs!hrn,nr rcsadins fi.io\rcn!,!alrr troripflic.blcln lhi\prorccl
7-*niry 'r', r r,,^. -"1 rr',. dpnl'!
'on
dld n0rcrhr rhcirFvc i 'onrErion is coftd Iasrmtuconllyq'ithnrlcilynid(i,unry
odiumcs lnd Srare l i*\ hlarins h huihn$ cotrs (n,n.rnhcrchyaurhxi/crcnr.{.rsrivcsotrhirCirya Counry ro cnr$ ulx'. rh.
otovc m"r mdrmpcnyn, iN0c{rion
Appli.onl o. r\86l SiAMluF loc.1 .t
u
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waler Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heatericas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 0/1 ,lg
Final Gas Test
Meter Release
*/n/ n >\fr(
Notes, Remarks, Etc
COMMENTS
Waste & Vent
POOL/SPA
Gas Service
FINAL
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